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<body style="color:#333;padding:3px;">
    <!-- 标题 -->
    <div class="page-heade">
      <h1 class="title_color padding-10">新增经销商评估及资料表</h1>
    </div>
    <!-- 标题 -->
    <div class="row-margin-top">
    <form action=""  class="form-inline">
       <table class="table-bordered table t_table text-center">
           <tr>
            <td style="min-width: 180px;width: 180px"><label for="" class="form-label" >编号</label></td>
            <td></td>
             <td style="min-width: 180px;width: 180px"><label for="" class="form-label" >状态</label></td>
            <td class="text-left">草稿</td>
             <td style="min-width: 180px;width: 180px"><label for="" class="form-label" >申请时间</label></td>
            <td class="text-left">2017-11-20</td>
           </tr>
            <tr>
            <td style="min-width: 180px;width: 180px"><label for="" >申请人</label></td>
            <td class="text-left">测试经理</td>
             <td style="min-width: 180px;width: 180px"><label for="" >联系电话<span class="colorRed">*</span></label></td>
            <td class="text-left" colspan="3"><input type="text" value="1334928927" class="form-control"></td>
           
           </tr>
          </table>
           <table class="table-bordered table t_table text-left">
            <tr>
            <th class="font-bold info" colspan="3">一、调整区域情况</th>
            </tr>
            <tr>
              <td style="min-width: 180px;width: 180px" colspan="2">
              <label for="" >计划经销区域<span class="colorRed">*</span>:</label>
              <div class="form-group">
                分区 <select name="" id="" class="form-control">
                    <option value="0">请选择</option>
                    <option value="1">请选择</option>
            </select>
              </div>
              <div class="form-group">
                省份 <select name="" id="" class="form-control">
                    <option value="0">请选择</option>
                    <option value="1">请选择</option>
            </select>
              </div>
              <div class="form-group">
                城市 <select name="" id="" class="form-control">
                    <option value="0">请选择</option>
                    <option value="1">请选择</option>
            </select>
              </div>
               <div class="form-group">
                县/区 <input type="text" class="form-control" name="">
              </div>
              </td>
            </tr>
            <tr>
             <td>
               <label for="" class="form-label">计划签约时间<span class="colorRed">*</span>：</label>
             <div class="form-group">
            <input type="text" id="start" class="form-control layer-date" style="min-width:120px;width:120px;height: 26px;display: inline-block;" name="">
           </div>
            <div class="form-group">
                至
            </div>
           <div class="form-group">
            <input type="text" class="form-control layer-date" style="min-width:120px;width:120px;height: 26px;display: inline-block;" id="end" name="">
           </div>
            </td>
            <td>
               <label for="" class="form-label">计划月均销售目标<span class="colorRed">*</span>：</label>
               <input type="text" class="form-control numReg" name="">万元
            </td>
            </tr>
            <tr>
                <td colspan="2">
                   <label for="" class="form-label">计划经销产品系列<span class="colorRed">*</span>：</label>
               <input type="text" class="form-control" placeholder="请输入关键字或空格查询" name=""><a href="javascript:;">选择</a>
                </td>
            </tr>
            <tr>
                <td colspan="2"></td>
            </tr>
           </table>
           <table class="table-bordered table t_table text-left">
           <tr>
               <th class="font-bold info" colspan="6">二、新增经销商基本资料</th>
           </tr>
           <tr>
              <td colspan="6">
                <div class="form-group">
                  <label for="" class="form-label">经销商编号<span class="colorRed">*</span>：</label>
                  <input type="text" class="form-control" name="">
                </div>
              </td>
           </tr>
           <tr>
              <td colspan="3">
                 <div class="form-group" style="min-width: 500px;width: 500px">
                  <label for="" class="form-label">经销商全称<span class="colorRed">*</span>：</label>
                  <input type="text" class="form-control" name="">
                </div>
              </td>
              <td colspan="3">
                 <div class="form-group">
                  <label for="" class="form-label">开户时间：</label>
                 <span>2017-11-22 19:37</span>
                </div>
              </td>
           </tr>
           <tr>
              <td style="min-width: 160px;width: 160px">经销商类型</td>
              <td colspan="5">
                 <div class="form-group">
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions" id="inlineRadio1" value="option1">A.根据地客户
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions" id="inlineRadio2" value="option2">B.待恢复客户
                </label>
                   <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions" id="inlineRadio3" value="option3">C.微型客户
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions" id="inlineRadio4" value="option4">D.包销客户
                </label>
                <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions" id="inlineRadio5" value="option5">E.长期团购客户
                </label>
                <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions" id="inlineRadio6" value="option6">F.一次性团购客户
                </label>
                <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions" id="inlineRadio7" value="option7">G.特殊通路客户
                </label>
                  <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions" id="inlineRadio8" value="option8">H.其他类别客户
                </label>
                   </div>
              </td>
           </tr>
           <tr>
              <td style="min-width: 160px;width: 160px"><label for="" class="form-label">销售占渠道比例<span class="colorRed">*</span>：</label></td>
              <td colspan="5">
                <div class="form-group">
                  <label for="" class="form-label">1、流通网点占</label>
                  <input type="text" class="form-control numReg" style="min-width: 60px;width: 60px" name="">%
                </div>
                <div class="form-group">
                  <label for="" class="form-label">2、批发占</label>
                  <input type="text" class="form-control numReg" style="min-width: 60px;width: 60px" name="">%
                </div>
                <div class="form-group">
                  <label for="" class="form-label">3、终端网点占</label>
                  <input type="text" class="form-control numReg" style="min-width: 60px;width: 60px" name="">%
                </div>
                <div class="form-group">
                  <label for="" class="form-label">4、特殊渠道占</label>
                  <input type="text" class="form-control numReg" style="min-width: 60px;width: 60px" name="">%
                </div><br>
                (销售占渠道比例的四项加起来必须为100%！)
              </td>
           </tr>
           <tr>
               <td style="min-width: 160px;width: 160px"><label for="" class="form-label">渠道类别<span class="colorRed">*</span>：</label></td>
               <td colspan="5">
                  <select name="" id="" class="form-control">
                      <option value="0">请选择</option>
                      <option value="1">一级渠道</option>
                      <option value="2">二级渠道</option>
                  </select>
               </td>
           </tr>
           <tr>
                <td style="min-width: 160px;width: 160px"><label for="" class="form-label">经营(邮寄)地址<span class="colorRed">*</span></label>请选择</td>
               <td colspan="5">
                   <input type="text" class="form-control" style="min-width: 300px;width: 300px" name="">
               </td>
           </tr>
           <tr>
               <td style="min-width: 160px;width: 160px"><label for="" class="form-label">邮编<span class="colorRed">*</span></label></td>
               <td >
                  <input type="text" style="min-width: 80px" class="form-control" name="">
               </td>
               <td colspan="2">
                  <span>纳税资格</span>
                   <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions" id="inlineRadio8" value="option8">A.一般纳税人
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions" id="inlineRadio9" value="option9">B.小规模纳税人
                </label>
               </td>
               <td colspan="2">
                  <label for="" class="form-label">纳税人登记号<span class="colorRed">*</span></label>
                  <input type="text" class="form-control" name="">
               </td>
           </tr>
           <tr>
              <td style="min-width: 160px;width: 160px"><label for="" class="form-label">企业法人<span class="colorRed">*</span></label></td>
              <td colspan="2"><input type="text" class="form-control" name=""></td>
              <td  style="min-width: 160px;width: 160px"><label for="" class="form-label">固定电话<span class="colorRed">*</span></label></td>
              <td colspan="2">
                <input type="text" class="form-control" style="min-width: 60px;width: 60px" name="">-
                <input type="text" class="form-control" style="min-width: 80px;min-width:80px " name="">
              </td>
           </tr>
           <tr>
             <td style="min-width: 160px;width: 160px"><label for="" class="form-label">传真<span class="colorRed">*</span></label></td>
             <td colspan="2">
                 <input type="text" class="form-control" style="min-width: 60px;width: 60px" name="">-
                <input type="text" class="form-control" style="min-width: 80px;min-width:80px " name="">
             </td>
              <td style="min-width: 160px;width: 160px"><label for="" class="form-label">手机<span class="colorRed">*</span></label></td>
              <td colspan="2">
                <input type="text" class="form-control" name="">
              </td>
           </tr>
           <tr>
              <td style="min-width: 160px;width: 160px"><label for="" class="form-label">法人身份证号<span class="colorRed">*</span></label></td>
              <td><input type="text" name="" class="form-control">(15位/18位)</td>
              <td colspan="4">
                   <div class="form-group">
                   身份
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions1" id="inlineRadios1" value="option1">A.老板
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions1" id="inlineRadios2" value="option2">B.老板配偶
                </label>
                   <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions1" id="inlineRadios3" value="option3">C.老板亲属
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions1" id="inlineRadios4" value="option4">D.老板雇员
                </label>
                <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions1" id="inlineRadios5" value="option5">E.其他
                </label>
                   </div>
              </td>
           </tr>
           <tr>
              <td style="min-width: 160px;width: 160px"><label for="" class="form-label">总经理<span class="colorRed">*</span></label></td>
              <td colspan="5">
               <div class="form-group">
                  <label for="" class="form-label">姓名</label>
                  <input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">
               </div>
                <div class="form-group">
                  <label for="" class="form-label">手机</label>
                  <input type="text" class="form-control" style="min-width: 140px;width: 140px" name="">
               </div>
               <div class="form-group">
                  <label for="" class="form-label">电子邮件</label>
                  <input type="text" class="form-control" style="min-width: 180px;width: 180px" name="">
               </div>
               <div class="form-group">
                  <label for="" class="form-label">总经理身份证号</label>
                  <input type="text" class="form-control" style="min-width: 180px;width: 180px" name="">
               </div>
              </td>
           </tr>
           <tr>
             <td style="min-width: 160px;width: 160px">身份</td>
             <td colspan="5">
                  <div class="form-group">
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions1" id="inlineRadios1" value="option1">A.老板
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions1" id="inlineRadios2" value="option2">B.老板配偶
                </label>
                   <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions1" id="inlineRadios3" value="option3">C.老板亲属
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions1" id="inlineRadios4" value="option4">D.老板雇员
                </label>
                <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions1" id="inlineRadios5" value="option5">E.其他
                </label>
                   </div>
             </td>
           </tr>
           <tr>
             <td style="min-width: 160px;width: 160px"><label for="" class="form-label">主要业务负责人<span class="colorRed">*</span></label>
             </td>
             <td><input type="text" class="form-control" style="min-width: 100px;width: 100px" name=""></td>
              <td>
                <label for="" class="form-label">固定电话<span class="colorRed">*</span></label>
               
              </td>
               <td  style="min-width: 180px;width: 200px">
                  <input type="text" class="form-control" style="min-width: 60px;width: 60px" name="">-
                <input type="text" class="form-control" style="min-width: 100px;width:100px " name="">
                </td>
              <td>
                <label for="" class="form-label">传真<span class="colorRed">*</span></label>
                  <input type="text" class="form-control" style="min-width: 60px;width: 60px" name="">-
                <input type="text" class="form-control" style="min-width: 100px;width:100px " name="">
              </td>
              <td>
                 <label for="" class="form-label">手机</label>
                  <input type="text" class="form-control" style="min-width: 120px;min-width:120px " name="">
              </td>
           </tr>
              <tr>
             <td style="min-width: 160px;width: 160px"><label for="" class="form-label">财务负责人<span class="colorRed">*</span></label>
             </td>
             <td><input type="text" class="form-control" style="min-width: 100px;width: 100px" name=""></td>
              <td>
                <label for="" class="form-label">固定电话<span class="colorRed">*</span></label>
              
              </td>
                <td style="min-width: 200px;width: 200px">
                    <input type="text" class="form-control" style="min-width: 60px;width: 60px">-
                <input type="text" class="form-control" style="min-width:100px;width:100px " name="">
                </td>
              <td>
                <label for="" class="form-label">传真<span class="colorRed">*</span></label>
                <input type="text" class="form-control" style="min-width: 60px;width: 60px" name="">-
                <input type="text" class="form-control" style="min-width: 100px;width:100px " name="">
              </td>
              <td>
                 <label for="" class="form-label">手机</label>
                  <input type="text" class="form-control" style="min-width: 120px;min-width:120px" name="">
              </td>
           </tr>
        </table>
          <table class="table-bordered table t_table text-left">
          <tr>
            <th class="info font-bold" colspan="4">三、新增经销商目前经营状况</th>
          </tr>
          <tr>
            <td colspan="2">
               <label for="" class="form-label">经销商所在地</label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions2" id="inlineRadios32" value="option32">A.市区
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions2" id="inlineRadios42" value="option42">B.郊区
                </label>
                <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions2" id="inlineRadios52" value="option52">C.乡/镇
                </label>
            </td>
            <td colspan="2">
               <label for="" class="form-label">是否在批发市场</label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions2" id="inlineRadioa3" value="optiona">是
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions2" id="inlineRadiosa4" value="optionb">否
                </label>
            </td>
          </tr>
          <tr>
            <td colspan="2">
                <label for="" class="form-label">经销商<span class="colorRed">*</span></label>
              <div class="form-group">
                 <label for="" class="form-label">业务经理</label>
                 <input type="text" style="min-width: 60px;width: 60px" class="form-control" name="">人;
              </div>
              <div class="form-group">
                 <label for="" class="form-label">业务代表</label>
                 <input type="text" style="min-width: 60px;width: 60px" class="form-control" name="">人;
              </div>
               <div class="form-group">
                 <label for="" class="form-label">会计</label>
                 <input type="text" style="min-width: 60px;width: 60px" class="form-control" name="">人;
              </div>
            </td>
             <td colspan="2">
                <label for="" class="form-label">业务负责人<span class="colorRed">*</span></label>
              <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions5" id="inlineRadios35" value="option35">A.老板
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions5" id="inlineRadios45" value="option45">B.老板配偶
                </label>
                <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions5" id="inlineRadios55" value="option55">C.业务经理
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions2" id="inlineRadios65" value="option65">D.其他
                </label>
            </td>
          </tr>
          <tr>
              <td style="min-width: 160px;width: 160px"><label for="" class="form-label">配送能力<span class="colorRed">*</span></label>
             </td>
             <td>
                <div class="form-group">
                  有<input type="text" class="form-control" style="min-width: 60px;width: 60px" name="">
                  台送货车，其中乡镇覆盖
                  <input type="text" class="form-control" style="min-width: 60px;width: 60px" name="">
                  台
                </div>
             </td>
             <td style="min-width: 100px;width: 100px"><label for="" class="form-label">注册资金<span class="colorRed">*</span></label>
             </td>
             <td>
                <input type="text" class="form-control" style="min-width: 120px;width: 120px" name="">万元
             </td>
          </tr>
          <tr>
            <td style="min-width: 160px;width: 160px"><label for="" class="form-label">经销商主要经销商网络<span class="colorRed">*</span></label>
             </td>
             <td colspan="3">
              <label class="checkbox-inline">
                   <input type="checkbox" id="inlineCheckbox1" value="option1"> A.批发
                </label>
              <label class="checkbox-inline">
                   <input type="checkbox" id="inlineCheckbox2" value="option2">B.分销商
              </label>
              <label class="checkbox-inline">
                    <input type="checkbox" id="inlineCheckbox3" value="option3">C.大商场
              </label>
               <label class="checkbox-inline">
                    <input type="checkbox" id="inlineCheckbox4" value="option4">D.乡镇批零店
              </label>
               <label class="checkbox-inline">
                    <input type="checkbox" id="inlineCheckbox5" value="option5">E.市区中小店
              </label>
               <label class="checkbox-inline">
                    <input type="checkbox" id="inlineCheckbox6" value="option6">F.团购
              </label>
               <label class="checkbox-inline">
                    <input type="checkbox" id="inlineCheckbox7" value="option7">G.封闭通路
              </label>
               <label class="checkbox-inline">
                    <input type="checkbox" id="inlineCheckbox8" value="option8">H.其他
              </label>
             </td>
          </tr>
          <tr>
             <td style="min-width: 160px;width: 160px"><label for="" class="form-label">经营网点数量<span class="colorRed">*</span></label>
             </td>
             <td colspan="3">
                <label for="" class="form-label">同品类</label>
                <input type="text" class="form-control" style="min-width: 100px;width: 100px" name="">个,
                <label for="" class="form-label">非同品类</label>
                <input type="text" class="form-control" style="min-width: 100px;width: 100px" name="">个
             </td>
          </tr>
          </table>
          <table class="table table-bordered">
              <tr>
                <th class="warning font-bold" colspan="9">以下是经销商所辖区域所有能经销销路通产品的网点情况(其他经营但不能销售销路通产品的网点均不计算在内)</th>
              </tr>
              <tr>
                <td style="min-width: 160px;width: 160px">网点类型</td>
                <td><label for="" class="form-label">KA类<span class="colorRed">*</span></label></td>
                <td><label for="" class="form-label">A类<span class="colorRed">*</span></label></td>
                <td><label for="" class="form-label">B类<span class="colorRed">*</span></label></td>
                <td><label for="" class="form-label">C类<span class="colorRed">*</span></label></td>
                <td><label for="" class="form-label">KC类<span class="colorRed">*</span></label></td>
                <td><label for="" class="form-label">批发<span class="colorRed">*</span></label></td>
                <td><label for="" class="form-label">特殊渠道<span class="colorRed">*</span></label></td>
                <td style="min-width: 200px;width: 200px"><label for="" class="form-label">小计</label></td>
              </tr>
              <tr>
                 <td style="min-width: 160px;width: 160px">辖区内的全部网点</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td style="min-width: 200px;width: 200px"><input type="text" class="form-control" style="min-width: 120px;width: 120px" readonly value="自动计算" name=""></td>
              </tr>
               <tr>
                 <td style="min-width: 160px;width: 160px">预计销售销路通产品的网点</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td style="min-width: 200px;width: 200px"><input type="text" class="form-control" style="min-width: 120px;width: 120px" readonly value="自动计算" name=""></td>
              </tr>
               <tr>
                 <td style="min-width: 160px;width: 160px">未来待开发的网点</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td style="min-width: 200px;width: 200px"><input type="text" class="form-control" style="min-width: 120px;width: 120px" readonly value="自动计算"></td>
              </tr>
               <tr>
                 <td style="min-width: 160px;width: 160px">销售比例</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">%</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">%</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">%</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">%</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">%</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">%</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">%</td>
                <td style="min-width: 200px;width: 200px"><input type="text" class="form-control" style="min-width: 120px;width: 120px" readonly value="自动计算">(相加起来必须为100%)</td>
              </tr>
               <tr>
                 <td style="min-width: 160px;width: 160px">预计各类别网点平均进场条码</td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""></td>
                <td style="min-width: 200px;width: 200px">&nbsp;</td>
              </tr>
               <tr>
                <td style="min-width: 160px;width: 160px" rowspan="3">目前主要代理的品牌销售情况</td>
                <td colspan="4">
                  1.2016年销售<input type="text" class="form-control" style="min-width: 100px;width: 100px" name=""><label for="" class="form-label">品牌</label><input type="text" style="min-width: 80px;width: 80px" name=""  class="form-control" name="">万元
                </td>
                <td colspan="4">
                  <label for="" class="form-label">去年年销售总额<span class="colorRed">*</span></label><input type="text" style="min-width: 80px;width: 80px" name="" class="form-control" name="">万元
                </td>
              </tr>
              <tr>
                 <td colspan="4">
                  2.2016年销售<input type="text" class="form-control" style="min-width: 100px;width: 100px" name=""><label for="" class="form-label">品牌</label><input type="text" style="min-width: 80px;width: 80px" name=""  class="form-control" name="">万元
                </td>
                <td colspan="4">
                  <label for="" class="form-label">在当地同品类经销商中的排行名次<span class="colorRed">*</span></label><input type="text" style="min-width: 80px;width: 80px" name=""  class="form-control" name="">(1-100以内的整数)
                </td>
              </tr>
               <tr>
                 <td colspan="4">
                  3.2016年销售<input type="text" class="form-control" style="min-width: 100px;width: 100px" name=""><label for="" class="form-label">品牌</label><input type="text" style="min-width: 80px;width: 80px" name=""  class="form-control" name="">万元
                </td>
                <td colspan="4">
                  <label for="" class="form-label">在当地的影响力<span class="colorRed">*</span></label>
                   <label class="radio-inline">
                   <input type="radio" checked id="inlineCheckbox1" name="inlineCheck" value="option1"> 强
                  </label>
                  <label class="radio-inline">
                   <input type="radio" id="inlineCheckbox2" name="inlineCheck" value="option2">一般
                  </label>
                  <label class="radio-inline">
                    <input type="radio" id="inlineCheckbox3" name="inlineCheck" value="option3">弱
                   </label>
                </td>
              </tr>
              <tr>
                <td colspan="5">
                    <label for="" class="form-label">价格掌控力</label>
                  <label class="radio-inline">
                   <input type="radio" checked id="inlineCheckbox12" name="inlineCheck32" value="option11">A.强无冲货
                  </label>
                  <label class="radio-inline">
                   <input type="radio" id="inlineCheckbox22" name="inlineCheck32" value="option22">B.一般无主动冲货
                  </label>
                  <label class="radio-inline">
                    <input type="radio" id="inlineCheckbox32" name="inlineCheck32" value="option33">C.差经营主动冲货
                   </label>
                </td>
                <td colspan="4">
                    <label for="" class="form-label">信誉度：</label>
                  <label class="radio-inline">
                   <input type="radio" checked id="inlineCheckbox12" name="inlineCheck32a"  value="option11">A.当地美誉高度
                  </label>
                  <label class="radio-inline">
                   <input type="radio" id="inlineCheckbox22" name="inlineCheck32a" value="option22">B.一般
                  </label>
                  <label class="radio-inline">
                    <input type="radio" id="inlineCheckbox32" name="inlineCheck32a" value="option33">C.差/涉黑
                   </label>
                </td>
              </tr>
          </table>
           <table class="table table-bordered">
            <tr>
              <th class="info font-bold" colspan="3">四、新增经销商财务状况(可填)</th>
            </tr>
            <tr>
                <td>
                  <div class="form-group">
                   <label for="" class="form-label">截止目前流动资产总额：</label>
                   <input type="text" class="form-control" style="min-width: 100px;width: 100px" name="">
                   万元
                  </div>
                </td>
                <td>
                   <div class="form-group">
                   <label for="" class="form-label">截止目前流动负债总额：</label>
                   <input type="text" class="form-control" style="min-width: 100px;width: 100px" name="">
                   万元
                  </div>
                </td>
                <td>
                   <div class="form-group">
                   <label for="" class="form-label">应收账款总额：</label>
                   <input type="text" class="form-control" style="min-width: 100px;width: 100px" name="">
                   万元
                  </div>
                </td>
            </tr>
            <tr>
               <td>
                  <div class="form-group">
                   <label for="" class="form-label">截止目前流动资产总额：</label>
                   <input type="text" class="form-control" style="min-width: 100px;width: 100px" name="">
                   万元
                  </div>
                </td>
                <td>
                   <div class="form-group">
                   <label for="" class="form-label">截止目前总资产总额：</label>
                   <input type="text" class="form-control" style="min-width: 100px;width: 100px" name="">
                   万元
                  </div>
                </td>
                <td>
                   <div class="form-group">
                   <label for="" class="form-label">截止目前总负债总额：</label>
                   <input type="text" class="form-control" style="min-width: 100px;width: 100px" name="">
                   万元
                  </div>
                </td>
            </tr>
            <tr>
                <td colspan="3">
                   <div class="form-group">
                   <label for="" class="form-label">保证金：</label>
                   <input type="text" class="form-control" style="min-width: 100px;width: 100px" name="">
                   万元
                  </div>
                </td>
            </tr>
           </table>
          <table class="table table-bordered">
           <tr>
              <th colspan="2" class="info font-bold">五、新增经销商历史状况</th>
           </tr>
           <tr>
              <td>
                 <label for="" class="form-label">是否曾经和销路通合作过<span class="colorRed">*</span></label> 
                 <label class="radio-inline">
                      <input type="radio" checked name="inlineRadioOptions5a" id="inlineRadiosa1" value="option45a">是
                </label>
                <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions5a" id="inlineRadiosa2" value="option55a">否
                </label>
                <span class="font-bold">(选是,新增经销商历史状况各项必填)</span>
              </td>
              <td>
                 <label for="" class="form-label">前期合作期间所辖的区域<span class="colorRed">*</span>:</label> 
                 <input type="text" class="form-control" name="">
              </td>
           </tr>
           <tr>
              <td>
                <div class="form-group">
                   <label for="" class="form-label">合作期间的销售情况<span class="colorRed">*</span></label>
                 <input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""> 
                 年至
                  <input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">
                  年,年均销售
                   <input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">
                   万元
                </div>
              </td>
              <td>
                  <div class="form-group">
                     <label for="" class="form-label">其他情况<span class="colorRed">*</span>:</label>
                     <input type="text" class="form-control" name="">
                  </div>
              </td>
           </tr>
           <tr>
              <td colspan="2">
                <div class="form-group">
                   <label for="" class="form-label">前期因何原因终止合作<span class="colorRed">*</span>：</label>
                 <input type="text" class="form-control" style="min-width: 640px;width:640px" name="">
                </div>
              </td>
           </tr>
         </table>
          <table class="table table-bordered">
           <tr>
              <th colspan="3" class="info font-bold">六、新增经销商合作后的配套情况</th>
           </tr>
           <tr>
              <td rowspan="2" style="min-width: 160px;width: 160px">
                 <label for="" class="form-label">人员配置<span class="colorRed">*</span>：</label>
              </td>
              <td>
                 <label for="" class="form-label">前期因何原因终止合作：</label>
                  <label class="radio-inline">
                      <input type="radio" checked name="inlineRadioOptions5b" id="inlineRadiosb1" value="option45b">是
                </label>
                <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptions5b" id="inlineRadiosb2" value="option55b">否
                </label>
              </td>
              <td>
                   <label for="" class="form-label">专职经理<span class="colorRed">*</span>：</label> 
                    <input type="text" class="form-control" style="min-width: 80px;width: 80px" name=""> 
                  人；专职业代
                  <input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">
                  人
              </td>
           </tr>
           <tr>
              <td colspan="2">
                车辆配送：专车<input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">辆；混车<input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">辆来配送销路通产品。(两辆都有就都填)
              </td>
           </tr>
            <tr>
                <td style="min-width: 160px;width: 160px"> <label for="" class="form-label">专项营运资金<span class="colorRed">*</span>：</label> </td>
                <td>
                  应到位资金：<input type="text" class="form-control" name="">万元
                </td>
                <td>
                  <div class="form-group">
                     <label for="" class="form-label">首批回款<span class="colorRed">*</span>：</label>
                   <input type="text" class="form-control" name="">万元 
                  </div>
                </td>
            </tr>
            <tr>
               <td style="min-width: 160px;width: 160px"> <label for="" class="form-label">仓库情况<span class="colorRed">*</span>：</label> </td>
               <td colspan="2">
                  仓库<input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">层；每层高<input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">米；合计面积<input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">平方米；预留存放销路通产品的面积<input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">平方米
               </td>
            </tr>
            <tr>
                 <td style="min-width: 160px;width: 160px"> <label for="" class="form-label">C类店情况</label> </td>
                 <td colspan="2">
                    C类店具体分销条码为：<input type="text" class="form-control" style="min-width: 300px;width: 300px;" placeholder="请输入关键字或空格查询" name=""><a href="javascript:;">选择</a>
                 </td>
            </tr>
            <tr>
                <td style="min-width: 160px;width: 160px">&nbsp;</td>
                <td colspan="2"></td>
            </tr>
          </table>
           <table class="table table-bordered">
           <tr>
              <th colspan="4" class="info font-bold">七、销路通配套支持情况</th>
           </tr>
           <tr>
              <td rowspan="2" style="min-width: 160px;width: 160px"> <label for="" class="form-label">由谁专营经销商<span class="colorRed">*</span>：</label></td>
              <td rowspan="2">
                <input type="text" class="form-control" style="min-width: 120px;width: 120px" name=""><a href="javascript:;">选择</a>
              </td>
              <td rowspan="2">
                <div class="form-group">
                   <label for="" class="form-label">预计设业代<span class="colorRed">*</span>：</label>
                   <input type="text" class="form-control" style="min-width: 120px;width: 120px" name="">人
                </div>
              </td>
              <td>
                <div class="form-group">
                   <label for="" class="form-label">预计设专职导购<span class="colorRed">*</span>：</label>
                   <input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">
                   家卖场
                    <input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">
                  人(手填)
                </div>
              </td>
           </tr>
           <tr>
              <td>
                 <div class="form-group">
                   <label for="" class="form-label">预计设兼职导购<span class="colorRed">*</span>：</label>
                   <input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">
                   家卖场
                    <input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">
                  人(手填)
                </div>
              </td>
           </tr>
           <tr>
              <td colspan="4">
                  <span>资信限额支持方式：</span>
                  <div class="form-group">
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptionsz" checked id="inlineRadio1z" value="option1z">A.现款现货(默认项)
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptionsz" id="inlineRadio2z" value="option2z">B.铺底
                </label>
                   <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptionsz" id="inlineRadio3z" value="option3z">C.信用额度
                </label>
                 <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptionsz" id="inlineRadio4z" value="option4z">D.账期(BCD默认不支持，特殊经销商另行申请方可执行)
                </label>
                   </div> 
              </td>
           </tr>
           </table>
            <table class="table table-bordered">
           <tr>
              <th colspan="6" class="info font-bold">八、新增经销商其他情况</th>
           </tr>
           <tr>
              <td style="min-width: 160px;width: 160px"> <label for="" class="form-label">是否是BDF经销商</label></td>
              <td>
                   <label class="radio-inline">
                      <input type="radio" checked name="inlineRadioOptionsz" id="inlineRadio2zs" value="option2zs">否
                </label>
                   <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptionsz" id="inlineRadio3zs" value="option3zs">是
                </label>
              </td>
             <td style="min-width: 160px;width: 160px"> <label for="" class="form-label">信用额度(元)</label></td>
             <td><input type="text" class="form-control" name=""></td>
               <td style="min-width: 160px;width: 160px"> <label for="" class="form-label">DGA准备金率</label></td>
             <td><input type="text" class="form-control" name="">%</td>
           </tr>
            <tr>
              <td style="min-width: 160px;width: 160px"> <label for="" class="form-label">是否有账期</label></td>
              <td>
                   <label class="radio-inline">
                      <input type="radio" checked name="inlineRadioOptionsd" id="inlineRadio2zd" value="option2zd">否
                </label>
                   <label class="radio-inline">
                      <input type="radio" name="inlineRadioOptionsz" id="inlineRadio3zd" value="option3zd">是
                </label>
              </td>
             <td style="min-width: 160px;width: 160px"> <label for="" class="form-label"></label></t账期天数d>
             <td><input type="text" class="form-control" name=""></td>
               <td style="min-width: 160px;width: 160px"> <label for="" class="form-label">DGA百分比</label></td>
             <td><input type="text" class="form-control" name="">%</td>
           </tr>
           <tr>
             <td style="min-width: 160px;width: 160px"> <label for="" class="form-label">返利政策描述</label></td>
             <td colspan="5">
                 <div class="ibox float-e-margins" style="margin-bottom: 0">
                    <div class="ibox-content no-padding">

                        <div class="summernote">
                           
                        </div>

                    </div>
                </div>
             </td>
           </tr>
          </table>
          <table class="table table-bordered nineTable">
           <tr>
              <th colspan="3" class="info font-bold">九、新增经销商BDF对应品牌情况</th>
           </tr>  
           <tr>
              <th class="text-center info">BDF对应品牌</th>
              <th class="text-center info">BDF对应百分比</th>
              <th class="text-center info" style="min-width: 60px;width: 60px"><button class="btn btn-info addTr" type="button">添加</button></th>
           </tr>
           <tr>
            <td><input type="text" class="form-control" placeholder="请输入关键字或空格查询" name=""></td>
            <td><input type="text" class="form-control" style="min-width: 80px;width: 80px" name="">%</td>
            <td><button type="button" class="btn-danger btn delthis">删除</button></td>
           </tr>
          </table>
        <div class="ibox-content " style="border:1px solid #ccc;background: #ffff9c">
         注意事项：开户需提供①营业执照②企业代码证③税务登记证(国税)④购销合同：如客户需开具增值税发票则必须提供⑤一般纳税人资格证和已盖公章的⑥增值税开票资料。可作为附件提交或传真至x部门，电话：000-0000000.
        </div>
        <div class="form-group" style="margin:20px 10px 20px 20px">
        <input type="file" id="exampleInputFile">
        <p class="help-block" style="color:#1295d2">注：最多上传15个文件，每个文件小于50M,支持格式：</p>
        <p class="help-block" style="color:#1295d2">jpg,bnp,gif,png,jpeg,tif,raw,doc,docx,xls,xlsx,ppt,pptx,txt,pdf,rar,zip,mp4,avi,rmvb,rm,mid,3gp,AVI,3GP,,mpg,mp3,wma,wav</p>
    </div>
       <div class="row sub_btn" style="width:100%;text-align:center;padding: 20px 0">
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            istoday: false,
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            min: laydate.now(),
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            istoday: false,
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